Magizhchi Tech Academy – Admission Form

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Personal Details

Tell us a bit about yourself

Full Name * Please enter your full name.

Mobile Number * Enter a valid 10-digit number.

Email ID * Enter a valid email address.

Date of Birth * Please select your date of birth.

Age (Auto-calculated)

Blood Group * Please select your blood group.

Gender * Please select your gender.

Aadhaar Number * Enter a valid 12-digit Aadhaar number (numbers only).

Marital Status

Current Address * Please enter your current address.

Permanent address same as current address

Permanent Address * Please enter your permanent address.

Passport Size Photo

Upload Passport Photo *

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passport photo

JPG or PNG · Max 2MB · Passport size (white background)

Please upload a passport size photo.

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Family Details

Information about your family members

Father's Information

Father's Name * Please enter father's name.

Father's Mobile

Father's Occupation

Mother's Information

Mother's Name * Please enter mother's name.

Mother's Mobile

Mother's Occupation

Guardian Information

Guardian Name

Relationship

Guardian Mobile

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Academic Details

Your educational background

Qualifications Completed

Which academic qualifications have you completed? *

10th

12th

Diploma

Select all that apply — only the selected qualification fields will appear below.

Any Gap in Studies?

Gap Duration

Reason for Gap

What did you do during the gap?

Did you learn any skill during gap?

Describe the skill(s) learned

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Employment Details

Your work experience and current status

Employment Status * Please select employment status.

Career Transition Path *

Company Details

Company Name

Location

Work Mode

Role / Designation

Work From

Work To

Total Experience (Auto-calculated)

Gap After Work

Gap After Work (if any)

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Technical Skills

Your technical proficiency and tools

Basic Computer Knowledge

Programming Level

Programming Languages

Review your information before submitting

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Application Submitted!

Congratulations! Your admission application has been received successfully.

Our team will review your application and contact you within 2–3 working days.